Dr Ellen C Ko, MD | |
400 N Pepper Avenue, Armc Pathology, Colton, CA 92324 | |
(909) 580-0010 | |
(909) 580-0064 |
Full Name | Dr Ellen C Ko |
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Gender | Female |
Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
Location | 400 N Pepper Avenue, Colton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124047501 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZC0500X | Pathology - Cytopathology | G78277 (California) | Secondary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | G78277 (California) | Primary |
Entity Name | County Of San Bernardino |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164467023 PECOS PAC ID: 3870499130 Enrollment ID: O20031209000420 |
Mailing Address | Practice Location Address |
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Dr Ellen C Ko, MD 400 N Pepper Avenue, Armc Pathology, Colton, CA 92324-1819 Ph: (909) 580-0010 | Dr Ellen C Ko, MD 400 N Pepper Avenue, Armc Pathology, Colton, CA 92324 Ph: (909) 580-0010 |
Dr. Theodore Arthur Friedman, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-0010 | |
Mukesh Mansha Agarwal, Pathology Medicare: Not Enrolled in Medicare Practice Location: 1501 Violet St, Colton, CA 92324 Phone: 909-809-0567 | |
Carolyn Suzanne Leach, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-0010 Fax: 909-580-0064 | |
Dr. Mark Raymond Seifert, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-0010 Fax: 909-580-0064 |